Provider Demographics
NPI:1235443060
Name:SENIOR HOME COMPANIONS, INC.
Entity Type:Organization
Organization Name:SENIOR HOME COMPANIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:V,
Authorized Official - Last Name:CUPPY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-924-0494
Mailing Address - Street 1:3902 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34242-1110
Mailing Address - Country:US
Mailing Address - Phone:941-924-0494
Mailing Address - Fax:941-346-9010
Practice Address - Street 1:3902 SOMERSET DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34242-1110
Practice Address - Country:US
Practice Address - Phone:941-924-0494
Practice Address - Fax:941-346-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211323253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care